Forest School Registration

Student Information

Parent/Guardian Information

Agreement:   Please read and sign below.

• I agree to disclose to Birch School representatives any mental, physical or emotional conditions or limitations which might affect my child’s ability to participate, and represent that my child is fully capable of participating without causing harm to him/herself or others.
• I have reviewed the rules with my child, and agree to abide by the rules and regulations set by the school for the safety, health and welfare of the students and the staff as outlined in the policy manual.
• I understand that TBS cannot be held legally responsible for any injuries that may occur on the premises at 9 Vance Road, Rock Tavern, NY outside of school hours. 
• I understand that tuition is calculated on an annual basis and that there are NO FEE REDUCTIONS for holidays, illness, vacations, or emergency closings of the school, including snow days. 
• I understand that I am registering for the program from Sept to December and that if I choose to remove my student, or if my student is dismissed for violating the student code of conduct, I understand there are no refunds or pro-rated fees. 
• I understand this is an outdoor program and my student will be outdoors in all weather.  I agree to prepare them with approriate outdoor clothing and gear, and with bug spray.  I recognize that poison ivy and ticks are present outdoors, and will take responsibility for daily tick checks and poison ivy rash prevention, (i.e. tecnu).  
• I understand that there will be a charge assigned for pickup later than 3:40PM. 
• I understand that up-to-date immunizations or a physican-approved immunization plan are required to attend.

Medical Release:   Please read and sign below.

In case of emergency, the School's procedure will be to contact the parent at home or work. If unable to reach either parent, we will contact the next emergency contact listed. I understand that part of The Birch School experience involves activities, group arrangements and interactions that may be new to my child. These things come with certain risks and uncertainties beyond what my child may be used to dealing with at home. I am aware of these risks and I am assuming them on behalf of my child. I realize that no environment is risk free and so I have instructed my child on the importance of abiding by the school’s rules. My child and I both agree that he or she is familiar or will become familiar with these rules and will obey them.I give permission, in case of injury, for Birch School Personnel when the need for treatment is immediate and efforts to contact me are unsuccessful. I authorize the Director (or the Director's Substitute at their direction) to take my child to the hospital for treatment if necessary. I authorize the Director to discuss any medical conditions with school staff, in his or her own discretion, it is in the best interest of the child.I/We acknowledge, understand and agree that The Birch School, Birch School Board of Trustees, and the respective trustees, directors, administrators and employees of these entities shall not be responsible or liable for any damage, including personal injuries to the student and property loss of any type whatsoever, unless such damage is the direct result of a willful or grossly negligent act of one of those entities or these trustees, directors, administrators and employees.I understand that TBS cannot be held legally responsible for any injuries that may occur on the premises at 9 Vance Road, Rock Tavern, NY outside of school hours.

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.